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THIS DOCUMENT SHOULD BE SUBMITTED WITH THE V55/4 FORM
TO REGISTER THE VEHICLE WITH THE DVLA.
Make
Type of Body
Serial Number
Weight w/Batteries
Top Speed
I declare that the mobility scooter described above is new and
unused, and has not been registered before.
Signed:
On behalf of Drive DeVilbiss
Date:
CERTIFICATE OF NEWNESS
Drive DeVilbiss
Metal and Plastic
138 kg / 304 Ibs
12.8 kmph / 8 mph
Drive DeVilbiss Healthcare Ltd.
Heathfield Lane, Birkenshaw,
West Yorkshire, BD11 2HW
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